Knowledge, Attitude and Practice of the health care workers on the rational use of antibiotics in the urban primary health care facilities of Lilongwe District in Malawi

Authors

  • Angellah Chikoko Luhanga Kamuzu University of Health Sciences (KUHES) Blantyre, Malawi
  • Rajab Sawasawa Mkakosya Kamuzu University of Health Sciences (KUHES) Blantyre, Malawi
  • Ajibu Phiri Kamuzu University of Health Sciences (KUHES) Blantyre, Malawi

DOI:

https://doi.org/10.31695/IJASRE.2022.8.6.7

Keywords:

Antibiotics, Rational, Knowledge, Practice, Prescribers.

Abstract

Introduction: The emergence and spread of bacterial resistance to antibiotics is a growing problem worldwide and it presents a significant threat to public health globally. Substantial evidence has shown that health care workers play a role in the increase of antibiotic resistance. The main aim of this study was to explore the Knowledge, Attitude, and Practice of the healthcare workers on the rational use of antibiotics in the Primary Health Care Facilities in Lilongwe District.

Materials and method(s): This was a cross-sectional quantitative study that was carried out in three primary health care facilities in Lilongwe District. All the Clinicians and Nurses in the selected health facilities were requested to participate in the study using a purposive a simple random technique. Interviewer-administered questionnaires were utilized to collect relevant information. Data on the knowledge, attitude and practice of the primary health care workers was analyzed using SPSS and was presented in graphs and tables.

Results: The study sample size was 73 participants however only 72 study participants responded to the questionnaire representing 98.6% response rate. Most of the participants (69/72) agreed that the rational use of antibiotics is giving the right antibiotic to the right patient in the right dose for the right duration;51,4% (37/72) of the participants responded that antibiotics cure viral infections. Most of the participants, 88.9% (64/72) agreed that it is important to know the resistance rate of the bacteria and 83.3% (60/72) agreed that Prescribing antibiotics is more influenced by the availability of antibiotics than the cause of infection.

Conclusion: This study revealed that most of health care workers possess average knowledge about the rational use of antibiotics. However, their attitude and practice on the rational use of antibiotics were still poor.

References

I. Ajzen, (2005). Attitudes, personality, and behavior (2nd ed.). Milton-Keynes, UK: Open University Press. Retrieved from http://psicoexperimental.files.wordpress.com/2011/03/ajzeni-2005-attitudes-personality-and-behaviour-2nd-ed-open-university-press.pdf.

AI. Awad, EA. Aboud. Knowledge, attitude, and practice towards antibiotic use among the public in Kuwait. PLoS ONE 2015;10(2):1-15.

A. Amin, MA. Khan, SMF. Azam, U . Haroon. Review of prescriber approach towards rational drug practice in hospitalized patients. J Ayub Med Coll Abbottabad. 2011; 23:19-22.

M. Anwar, A. Haseeb, M. Bilal. Prevalence of using non-prescribed medications in economically deprived rural population of Pakistan. Arch Public Health, 2016; 74:1.

N. Britten, O. Ukoumunne. The influence of patients' hopes of receiving a prescription on doctors' perceptions and the decision to prescribe: a questionnaire survey. BMJ, 1997; 315(7121):1506-1510.

World Health Organization: Antimicrobial resistance, fact sheet. 2016.Retreived on 18 August 2017 from http://www.who.int/mediacentre/factsheets/fs194/en/

P. Adogu, R. Okechukwu, N. Egenti, C. Emerole, Attitudes, Practice and Predictors of Rational Use of Medicines among Medicines Prescribers and Dispensers in Nnewi Nigeria, 2015, Retrieved on 26 July 2017 from www.sciencedomain.org

T. Mula Chimwemwe, V. Solomon, S. Muula Adamson, Nurse's adherence to the Five Rights of antibiotic administration 1; Malawi Medical Journal 31 (2): 126-132 June 2019

E. Farley, H. Stewart, MA. Davie, Knowledge attitudes and Perception among primary healthcare prescribers in South Africa, South Africa Journal 2018-ajol.info

M. Faizullah, N. Rahman, MI. Umar, M Anwar, M .Sarfraz. A cross-sectional study on knowledge, attitude, and practices of medical doctors towards antibiotic prescribing patterns and resistance in Khyber P Pakistan. J App Pharm Sci, 2017; 7 (12): 038-046.

D. Ganesh, P. Sonali, B. Chaitali, R. Latesh, Evaluation of Knowledge, Attitude and Practice of Rational use of Medicine Among Interns and Resident Doctors in a Tertiary Care Teaching Hospital, Nagpur, INDIA, 2016. J Young Pharm, Retrieved on 21 June 2017 from www.jyoungpharm.org

AK. Khan Afzal, G. Banu, KK. Reshma. Antibiotic resistance and usage- A survey on the Knowledge, attitude, perception, and practices among medical students of a Southern Indian teaching hospital. Journal of Clinical and Diagnostic Research2013;7(8):1613-1616

J. Kumar, MM. Shaik, MC. Kathi, A. Deka, SS. Gambhir. Prescribing indicator and pattern of use of antibiotics among medical outpatients in a teaching hospital of Central Nepal, 2010, Journal of College of Medical Sciences, Retrieved on 20 May 2017 from.http://www.ncbi.nlm.nih.gov/pubmed/2238429

M .Mahajan, S. Dudhgaonkar, S. Deshmukh. A Questionnaire-based Survey on the Knowledge, Attitude and Practices about Antimicrobial Resistance and Usage among the Second-year MBBS Students of a Teaching tertiary care Hospital in Central India. IJPR. 2014;4(4):175-9.

K. Pallavi, A. Kuruvilla, R. Roy ,G. Indla Ravi 41Assistant Professor, 2Professor, 3Professor & HOD, 4Tutor, Dept. of Pharmacology, Karuna Medical College, Overuse of antibiotics for the common cold -attitudes and behaviors among doctors in.Palakkad, Kerala, BMC Pharmacology, (16), 6. Retrieved on 23 July 2017 from http://dx.doi.org/10.1186/s40360-015-0009-

S. Qiang, J. Oliver., Z. Lingbo, T. Goran, Overuse of antibiotics for the common cold -attitudes and behaviors among doctors in rural areas of Shandong Province, China,2015, BMC Pharmacology, (16), 6. Retrieved on 23 July 2017 from http://dx.doi.org/10.1186/s40360-015-0009-

M. Shehadeh, G. Suaifan, RM. Darwish, L. Zaru. Knowledge, attitudes and behavior regarding antibiotic use and misuse among adults in the community of Jordan. A pilot study. Saudi Pharmaceutical journal2012;20(2):125-133.

M. Sharma, B .Eriksson, G. Marrone, SP. Dhaneria, CS. Lundborg. Antibiotic prescribing in two private sector hospitals; one teaching and one non-teaching: A cross-sectional study in Ujjain, India. BMC Infectious Disease. 2012;http://www.biomedcentral. com/1471-2334/12/155

T. Shaik, BR. Meher. A questionnaire-based study to assess the knowledge, attitude, and practice (KAP) of rational use of antibiotics among undergraduate dental students in a tertiary care dental hospital in South India. Int

B. Usha, BK. Padmavathi. Assessment of clinician's knowledge and perception of antimicrobial J Basic Clin Pharmacol 2013

Downloads

How to Cite

Angellah Chikoko Luhanga, Rajab Sawasawa Mkakosya, & Ajibu Phiri. (2022). Knowledge, Attitude and Practice of the health care workers on the rational use of antibiotics in the urban primary health care facilities of Lilongwe District in Malawi. International Journal of Advances in Scientific Research and Engineering (IJASRE), ISSN:2454-8006, DOI: 10.31695/IJASRE, 8(6), 65–70. https://doi.org/10.31695/IJASRE.2022.8.6.7

Issue

Section

Articles